Healthcare Provider Details

I. General information

NPI: 1962822312
Provider Name (Legal Business Name): MARY HOTCHKISS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 S HURON ST STE 4
CHEBOYGAN MI
49721-2276
US

IV. Provider business mailing address

4576 WELLER LN
ALANSON MI
49706-9355
US

V. Phone/Fax

Practice location:
  • Phone: 231-627-5627
  • Fax:
Mailing address:
  • Phone: 231-529-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801063927
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: